Provider Demographics
NPI:1568892883
Name:ATKINS, ARCHER (ND)
Entity Type:Individual
Prefix:DR
First Name:ARCHER
Middle Name:
Last Name:ATKINS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2509 107TH PL SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-4410
Mailing Address - Country:US
Mailing Address - Phone:425-248-8866
Mailing Address - Fax:
Practice Address - Street 1:16108 ASH WAY STE 107
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-8780
Practice Address - Country:US
Practice Address - Phone:425-248-8866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-22
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 60421439175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath